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目的探讨采用头低臀高侧卧位对老年慢性肾衰患者结肠透析效果的影响。方法将40例应用结肠透析机进行结肠透析的老年慢性肾衰患者随机分成两组,实验组21例,透析时采取头低臀高侧卧位;对照组19例,透析时采取常规的左侧卧位。比较两组的透析效果、透析治疗时的有效灌注量、保留灌肠时间及心率、血压变化。观察两组患者透析过程中不良反应的发生情况。结果实验组对肌酐、尿素氮、尿酸等的清除效果明显好于对照组,差异有统计学意义(P<0.05)。与对照组相比,实验组有效灌注量多,保留灌肠时间长,血压和心率变化不明显,患者亦无不适主诉。结论头低臀高侧卧位是老年慢性肾衰患者结肠透析的合适体位。
Objective To investigate the effect of head-low hip-high position on colonic dialysis in elderly patients with chronic renal failure. Methods Forty elderly patients with chronic renal failure undergoing colonic dialysis were divided into two groups randomly. The experimental group consisted of 21 patients who underwent head-low hip-high position during dialysis. In control group, 19 patients received conventional dialysis left side Supine position. The dialysis effect, effective perfusion during dialysis, retention enema time, heart rate and blood pressure were compared between the two groups. The incidence of adverse reactions in the two groups during dialysis was observed. Results The experimental group of creatinine, urea nitrogen, uric acid and other clearance was significantly better than the control group, the difference was statistically significant (P <0.05). Compared with the control group, experimental group more effective perfusion, retention enema for a long time, blood pressure and heart rate did not change significantly, the patient nor complaints of discomfort. Conclusions The low head and lower hip position is the suitable position for colonic dialysis in elderly patients with chronic renal failure.